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Condom use at last sex among people with multiple sexual partnerships

Export Indicator

Percentage of women and men aged 15-49 who had more than one partner in the past 12 months who used a condom during their last sexual intercourse
What it measures

It measures progress towards preventing exposure to HIV through unprotected among people with multiple sexual partners.

Rationale

Condom use is an important measure of protection against HIV, especially among people with multiple sexual partners.

Numerator

Number of respondents (aged 15–49) who reported having had more than one sexual partner in the last 12 months who also reported that a condom was used the last time they had sex.

Denominator

Number of respondents (15–49) who reported having had more than one sexual partner in the last 12 months.

Calculation

Numerator / Denominator

Method of measurement

Population-based surveys (Demographic Health Survey, AIDS Indicator Survey, Multiple Indicator Cluster Survey or other representative survey)
Respondents’ sexual histories are obtained. Analysis of sexual history is used to determine whether the respondent has had more than one partner in the preceding 12 month period, and if so whether a condom was used the last time the respondent had sexual intercourse.
For further information on DHS/AIS methodology and survey instruments, visit www.measuredhs.com.

Measurement frequency

Every 3-5 years

Disaggregation

Age-group:

15 years - 19 years

20 years - 24 years

25 years - 49 years

Gender:

Female

Male

Strengths and weaknesses

This indicator shows the extent to which condoms are used by people who are likely to have higher-risk sex (i.e. change partners regularly). However, the broader significance of any given indicator value will depend upon the extent to which people engage in such relationships. Thus, levels and trends should be interpreted carefully using the data obtained on the percentages of people that have had more than one sexual partner within the last year.
The maximum protective effect of condoms is achieved when their use is consistent rather than occasional. The current indicator does not provide the level of consistent condom use. However, the alternative method of asking whether condoms were always/sometimes/never used in sexual encounters with non-regular partners in a specified period is subject to recall bias. Furthermore, the trend in condom use during the most recent sex act will generally reflect the trend in consistent condom use.